Individual provider Active NPI

Ebenezer A Mensah-Addison, REGISTERED NURSE

  • Registered Nurse
  • Pickerington, OH
National Provider Identifier
1013324185
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.507954 Issued in OH
Practice address
8360 Comstock CT NW
Pickerington, OH 43147-7675
Phone
(614) 439-1731
Fax
(614) 322-9214
NPI assigned
Jul 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.507954 OH Primary

Addresses

Primary practice location

8360 Comstock CT NW
Pickerington, OH 43147-7675

Mailing address

2323 Lake Club Dr Ste 102
Columbus, OH 43232-3198
Phone (614) 322-9210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN.507954OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Living Life Homecare II LLC Current Accepting new patients
Living Life Home Care LLC Current Accepting new patients

Locations

2323 Lake Club Dr
Ste 102
Columbus, OH 43232
Phone (614) 322-9210

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1013324185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 LAKE CLUB DR STE 102",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323198",
            "telephone_number": "614-322-9210",
            "fax_number": "614-322-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 COMSTOCK CT NW",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477675",
            "telephone_number": "614-439-1731",
            "fax_number": "614-322-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENSAH-ADDISON",
        "first_name": "EBENEZER",
        "middle_name": "A",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2023-08-31",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.507954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.